BEHÇET’S PATIENTS CENTRES (A charitable company limited by guarantee)
Annual Report and unaudited Financial Statements for the year from 1 April 2020 to 31 March 2021
Company No: 08085618
Charity No: 1148599
Behçet’s Patients Centres Annual Report 2021
BEHÇET’S PATIENTS CENTRES (A charitable company limited by guarantee)
Contents of the Financial Statements For the year ended 31 March 2021
| A. | Directors’ Report...................................................3 - 13 |
|---|---|
| B. | Directors’ Responsibilities.....................................14 |
| C. | Statement of Financial Activities 2021 …..……….15 |
| Statement of Financial Activities 2020…….………16 | |
| D. | Balance Sheet……………………………...………..17 |
| E. | Notes to the Financial Statements………..…….…18 - 20 |
| F. | Independent Examiner’s Report…………….……..21 |
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A. Directors’ Report
1. Reference and Administrative Information
| Charitable Company Name: | Behçet’s Patients Centres |
|---|---|
| Company No: | 08085618 |
| Charity No: | 1148599 |
| Registered Office | c/o Critchleys LLP |
| 23-38 Hythe Bridge Street | |
| OXFORD | |
| OX1 2EP | |
| Administrative Address: | 17 Culverley Crescent |
| Knowle | |
| SOLIHULL | |
| B93 9RB | |
| Accountants: | UHY Ross Brooke |
| Suite I, Windrush Court | |
| Abingdon Business Park | |
| ABINGDON | |
| OX14 1SY | |
| Members: | Behçet's UK |
| Alan Lane | |
| Jan Mather | |
| Amanda Moseley | |
| Mike Rawlins | |
| Judith Scott | |
| Directors: | Jan Mather (Chair) |
| Mike Rawlins (Vice Chair) | |
| Alan Lane (Secretary and Finance Director) | |
| Amanda Moseley | |
| Judith Scott | |
| NHS Advisor: | Prof. Farida Fortune |
| Commencement | The Company was incorporated on 28 May 2012 and |
| commenced operations on 1 June 2012. |
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2. Structure, Governance and Management
2.1 Governing Document: Memorandum and Articles of Association
The charitable company operates with a voluntary management committee/Board of Directors who meet on a bi-annual basis, with additional meetings via telephone conference as required.
Other members of the Board can be appointed by the existing Directors. In so doing they will have regard to the need for the Board to contain a range of skills and relevant experience and will ensure that newly appointed Directors are appropriately trained as to their legal responsibilities. The liability of the Directors is limited by guarantee.
The Directors are not entitled to and did not receive any remuneration during the period.
2.2 Annual General Meeting
The Annual General Meeting was held on 25 May 2020. During the meeting, Janet Mather and Amanda Moseley were re-appointed as Directors following the expiry of their terms of office.
2.3 Employees
The employees of the BPC have remained the same throughout this financial year.
John Mather - Operations Manager - employed February 2014
The Support Coordinators are:
Rebecca Hyder – Birmingham Centre of Excellence – employed March 2015 Jackie Pooler – Liverpool Centre of Excellence – employed July 2014 Jean Christians – London Centre of Excellence – employed March 2013.
3. Objectives, Activities, Achievements & Performance
Behçet’s UK (formerly Behçet’s Syndrome Society) undertook a survey of its membership during 2008 which revealed that Behçet’s is more debilitating than previously understood. The Quality of Life survey revealed that the impact of Behçet’s is similar to that of Multiple Sclerosis, which has an approved patient pathway through the NHS. With this, and the knowledge that on average it was taking 12 years for Behçet’s patients to receive a diagnosis, Behçet’s UK began an application to the National Specialised Commissioning Group for Centres of Excellence to be established to treat patients with Behçet’s.
The bid to establish the Centres of Excellence was successful and the Centres were established in April 2012. The Behçet’s Patients Centres charitable company was established in conjunction with Behçet’s UK to manage the NHS contract whilst ensuring the vision for patients was delivered.
Behçet’s Patients Centres (BPC) complements the national clinical service that NHS England commissions from three expert providers in England for patients with Behçet’s through the three Centres of Excellence located in London, Birmingham and Liverpool.
It supports the delivery of high-quality specialised care to patients who have this rare disease. In particular, it supports the services to ensure that patients with Behçet’s have coordinated care and are provided with full information about their condition.
The current Service Specification agreed with the NHS in 2019 ensures that the non-medical support work carried out by Behçet’s Patients Centres, through the Support Coordinators and Operations Manager employed by the charity, is a true reflection of that work.
COVID-19
At the start of the pandemic in March 2020, Behçet’s Patients Centres switched to a remote “home working” model of support which has worked well for the charity and our patients across all three Centres of Excellence.
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The charity has been able to continue supporting our patients without the need to reduce working hours or furloughing any staff. However, we have had to consider the way we operate to protect our staff and our patients.
The biggest impact for Behçet’s Patients Centres has been the lack of face-to-face contact with our patients at the centres. So much of the work of the Support Coordinators is based around these conversations and they help us provide the right level of non-medical support for our patients. Quite often it is the informal chats in a waiting room that highlight potential support needs for a patient, chatting and listening to patients is a key function of the Support Coordinators.
Fortunately, the lack of physical face-to-face contact has not stopped the Support Coordinators providing invaluable support to patients during these very difficult times.
The Operational staff have had to adapt to new ways of working with our colleagues in the NHS. Whilst not attending clinic, staff still need to know who has been seen by the Centre staff whether that be face-to-face or virtually by video or telephone.
The Operations Manager and Support Coordinators have stayed in touch with their NHS colleagues at the centres to ensure that every patient who has attended a physical or virtual clinic has been contacted to check in with them and make them aware that the services of the charity are available to help with their non-medical needs.
3.1 Description of Services as agreed with NHS England
3.1.1 Provide non-medical support to patients attending a Behçet’s Centre of Excellence
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To ensure that all Behçet’s patients have access to a Behçet’s Support Coordinator whilst they are a patient at a Centre of Excellence and are aware of the services provided by the Behçet’s Patients Centres, including:
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Support Co-ordinators being present in clinic to meet with patients when they attend clinic as far as is practically possible,
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Emotional and practical support for patients,
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Advocacy services,
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Liaison with employers, educational establishments, and organisations such as Department of Work and Pensions (Benefits),
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Signpost to other relevant specialist agencies,
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Signpost to other support services within the Trust, for example support for travel costs,
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Link Behçet’s patients with other patients and Behçet’s UK support groups
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Support patients in maintaining employment, leisure activities or volunteering opportunities.
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Patients will be made aware of how to access the service outside of the normal clinic hours.
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All patients will be treated with dignity and respect, dealt with in a confidential manner and made aware of the service’s complaints policy.
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3.1.2 Provision of information about Behçet’s and the services provided by the Behçet’s Centre of Excellence
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To ensure that all Behçet’s patients are provided with the most relevant and up to date information about the support and services available that allows them to manage their condition.
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Access to all information to be made available in a format relevant for each patient, printed hard copy versions or electronic versions.
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Information provided will include; services of Behçet’s Support Coordinators, services available from Behçet’s UK, up to date information about Behçet’s including its management and symptoms.
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3.1.3 Management of Service Contract between the charity, Behçet’s Patients Centres, and NHS England
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To ensure compliance with the NHS Terms and Conditions for the provision of services.
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3.2 Achievements for Financial Year 2020-21 and performance in relation to objects and Service Agreement Outputs
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3.2.1 Provision of non-medical support to patients attending a Behçet’s Centre of Excellence:
Deliverables
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All patient contact related activity was recorded on a secure database.
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Patient advocacy and engagement in service delivery – Feedback (both within and outside clinics) was collected from each service at least every quarter. Analysis was undertaken on gathered responses to identify strengths and areas for improvement.
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Any contact from a patient was appropriately responded to by the Behçet’s Patients Centres within five working days.
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3.2.2 Provision of information about Behçet’s and the services provided by the Behçet’s Centre of Excellence:
Deliverables:
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Role of Behçet’s Support Coordinators – all patients attending clinics were given a summary of the services provided by the support coordinator and how to access the services provided.
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Patient Information Pack – patients attending a clinic received a copy of the Patient Information Pack and this was recorded on the individual patient record on the database of the Behçet’s Patients Centres. A digital version of our summary information pack is now also available for either downloading or for email to a patient. Behçet’s Patients Centres continued to work with Behçet’s UK to ensure the Patient Information Pack is updated on a regular basis.
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Website – Maintained our own website (https://behcetspatients.org.uk/) to provide information about the charity, current news, clinic information, information for patients and information for professionals.
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Newsletter – Provided regular articles from both patients and clinic staff that are published in the quarterly Behçet’s UK newsletter.
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Operations Manager – Presented at the Annual General Meeting of Behçet’s UK via Zoom, promoting the service and the support available for Behçet’s patients from the charity. All Support Coordinators supported the event.
The statistics for the last 12 months (below) show the types of contact Support Coordinators have had with patients.
As previously highlighted, the pandemic has led to virtual appointments. This has resulted in a unique graph as below. Although it is likely a hybrid model of working will be implemented post pandemic, it’s not thought the contact will reflect previous years of predominantly seen within the clinic
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The Operations Manager has analysed the database of patients to identify “Active” patients, where active is based upon some contact with a Support Coordinator in the previous two-year period.
This review of patients recognises the fluctuating nature of Behçet’s and is a truer measure of the number of patients being supported by BPC.
----- Start of picture text -----
Active Patients
477
553
Birmingham Centre
Liverpool Centre
London Centre
426 1456 Total
----- End of picture text -----
3.2.3 Fostering education, collaboration and networking in the medical and allied professions:
The BPC Matters newsletter continues to promote the Support Coordinators’ perspective of work within the clinic and is shared across the medical staff at all three Centres highlighting particularly interesting changes in benefits or cases (which are anonymised).
3.2.4 The promotion and assistance of research into Behçet’s disease and the dissemination of the useful results:
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The formation of the Centres will provide the largest sample population available in England to conduct research into Behçet’s disease. Each of the Centres is discussing potential research, how they can collaborate amongst themselves and with other medical professionals. We are also working closely with Behçet’s UK as they progress their ambition to develop a register of patients which will also assist with identifying the sample population.
3.3 Service Agreement Outputs:
3.3.1 Patient Advocacy and engagement in service delivery
Following attendance at a clinic in a Centre of Excellence, patients are sent an anonymous electronic survey to complete to provide feedback on the service they received. These are closely monitored and reviewed to highlight areas for improvement or for sharing best practice amongst the Centres.
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The Support Coordinator was so helpful in ensuring I was informed and advising on where to find resources. This support service is honestly so wonderful and is much needed. Thank you!
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Support Coordinator was fantastic with advice, support/conversation and information for myself and my employer.
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Always helpful and always stays in contact with me and with all information appointments.
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Support Coordinator is so accessible.
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Has helped me to get PIP, she is brilliant.
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Support Coordinator has been brilliant. She has provided information to school & university and has also contacted them when necessary.
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I have now been able to leave work with an ill-health pension which is a huge relief as work was impossible with my health condition and personal circumstances.
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Sometimes Behcets can be lonely and tiring and knowing someone is there is a boon.
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Support Coordinator is always helpful and friendly and assisting when she can. Just a support if you need to talk to her.
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I have been successful with my PIP reassessment and been awarded standard rate in care and mobility for 6 years. I believe without the help of the Support Coordinator this would have not been the outcome.
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I know I can ask for help and what is happening I get PIP I have blue badge I have someone to help.
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It is great I have the support from my clinic, and always there to help if needed.
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I passed on important relevant information to employer. I knew who to contact and how when needed I feel supported and listened to.
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The support from the Support Coordinator definitely helped. Great to have additional support.
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A very big difference because I would not know where to start, what I am entitled to in all, which I did not know that these kinds of benefits exist. Thanks for the support I received.
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It is just nice being able to speak to someone who understands... the condition.
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Thank you for providing a service that has been very helpful and knowing having a rare disease that not many people understand, there is someone who does understand, and help is there should we need it.
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The Behcet's Support Coordinators play a major role in patient’s journeys, from being a friendly face at clinic visits, right through to supporting us with financial matters and more.
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3.3.2 Dedicated Website
The website for Behçet’s Patients Centres (BPC) under the trading name of Behçet’s Patients Support has been live for over 12 months and is a resource actively promoted by the Support Coordinators .
The website can be found at https://behcetspatients.org.uk/. The website provides a “one-stop” for all information about the Centres of Excellence, with links to all three Centres and also to Behçet’s UK to promote the “In partnership with the NHS and Behçet’s UK” mission of the charity.
The website provides specific information in the following areas:
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➢ THE TEAM – who we are
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➢ SUPPORT COORDINATORS – what we do
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➢ CENTRES OF EXCELLENCE – where the services are provided
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➢ LIVING WELL – focus on living well with Behçet’s
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➢ FACTSHEETS – medical factsheets, provided by Behçet’s UK
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➢ REFERRALS – how to access the service
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➢ HELP WITH BENEFITS – useful information on welfare benefits
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➢ HINTS AND TIPS – sharing of good practice
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➢ TESTIMONIALS – patient feedback
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➢ CONTACT DETAILS – how to get in touch
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➢ New for 2020/21 was a dedicated section for newly diagnosed Behçet’s Patients to help them navigate their Behçet’s journey and promote the services of Behçet’s Patients Centres (BPC)
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➢ The Team at Behçet’s Patients Centres (BPC) are also working on a section dedicated to Children and Young People. This work is in collaboration with the Paediatric Team at Alder Hey and young people who attend the Liverpool Centre of Excellence.
Having a dedicated website allows for the charity to promote themes, for example links to the 2020 Behçet’s Quality of Life Survey and information on the COVID-19 pandemic. In addition, the new sections dedicated to new patients and young people will help patients access the non-medical support they need.
3.3.3 Newsletter articles provided from both patients and clinic staff for publication in the quarterly Behçet’s UK newsletter
Throughout 2020/21, the Centres have been represented with a significant presence in the Behçet’s UK newsletter. Each of the Centres is encouraged to provide articles for every edition with one of the Support Coordinators also providing information on lifestyle management and wellbeing. Articles this year have included:
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A quarterly food and nutritional column with suggested recipes
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Schools’ booklet project
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Behçet’s Patients Support update
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Be aware of scams
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Supporting young people with Behçet’s
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Telephone PIP assessment – hints and tips
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COVID-19 Patient Survey
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Behçet’s Patients Centres (BPC) – what we do and why
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The ‘new normal’ for the Support Coordinators
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BPS – providing valuable support
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Pet care
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3.3.4 Patient Information Pack – ensuring all patients who attend clinic for the first time receive a copy.
A Patient Information Pack continues to be distributed by the Support Coordinators at the Centres.
Following feedback from patients attending a centre, patients were becoming overwhelmed by the breadth of areas the disease could potentially affect which was having a negative impact on their wellbeing at a time when they were coming to terms with a new diagnosis.
The information pack given at their first clinic visit therefore only includes factsheets on:
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Overview of Behçet’s including the various symptoms associated with Behçet’s describing how they may manifest themselves,
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Patient’s guide to living with Behçet’s,
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Update on the current treatments available for Behçet’s,
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Membership Form to join Behçet’s UK.
A digital version of our summary information pack is now also available for either downloading or for email to a patient. We also encourage our patients to visit the website of Behçet’s UK where the most up to date information sheets on all the symptoms of the illness can be viewed and downloaded.
The Support Coordinator will continue to facilitate the provision of information to ensure all patients have access to the most up to date and appropriate information in a format relevant to them.
3.3.5 Support Coordinator workload prioritisation should aim for 65% direct face to face contact with patients: 30% other contact / facilitation work and 5% raising awareness activities.
The Support Coordinators log their time against categories of work they undertake to ensure their workload prioritisation is aligned to the Company’s Service Agreement.
The statistics for the last 12 months are below:
Please note “Face to Face” contact also includes direct contact via telephone, text etc.
----- Start of picture text -----
Actual Patient Outcomes
80%
67%
70%
60%
50%
40%
30% 23%
20%
10%
10%
0%
Awareness Face to Face Other Contact
Total %
----- End of picture text -----
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3.3.7 Training and Development – contribute to the Behçet’s UK AGM to promote the service.
The charity attended the October AGM of Behçet’s UK via Zoom Video. The presentation given by the Operations Manager covered the following key areas:
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New ways of working
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Same Team & same commitment to support patients.
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Flexible Working.
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Vulnerable Patients.
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Information.
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Covid-19 : Trends (-ve).
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Covid-19 : Trends (+ve).
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2020 QUALITY OF LIFE SURVEY.
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BEHÇET’S CENTRE : COVID-19 Patient Survey.
3.3.8 Raising Awareness of Services Provision
The Operations Manager presented the achieved outcomes of the service provided by BPC at the annual NHS CQUIN Meeting held via Microsoft Teams in March 2021. The Commissioning for Quality and Innovation (CQUIN) framework supports improvements in the quality of services and the creation of new, improved patterns of care as appropriate. The presentation allowed for the work of the BPC to be showcased to the National Commissioners and to share successes and the value added for the benefit of patients attending a Centre of Excellence with medical NHS colleagues.
3.3.9 Provide Stakeholder engagement by publishing a quarterly ‘BPC Matters’ to key medical staff in clinics
The ‘ BPC Matters’ newssheet has been produced quarterly during 2020/21 and circulated to the Lead Clinician of each Centre along with the NSCG Commissioner. The aim of this newssheet is to highlight to the medical team within the Centres any trends we are observing and to share best practice amongst the Centres. This publication continues to be well received with each of the Centre Leads circulating to their teams.
Sections include:
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Good News
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Trends
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Hints and Tips
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Patient Feedback
3.4 Looking to 2021-22
3.4.1 Training
The service has become well established with feedback being overwhelmingly positive, however ways to improve the services to patients are always being sought.
BPC is currently considering the appropriate training for its employees. The Company continues to look for appropriate courses to ensure our Support Coordinators remain current with any benefits changes as this is an ongoing need.
The personal development of the team is under consideration, after undertaking coaching training and resilience training in previous years. The training will be agreed collaboratively based on need and timeliness together with the benefit it will deliver for our service users.
3.4.2 Meeting schedules
The BPC has held three Board meetings by video conference during financial year 2020-21, no faceto-face Board meetings were held owing to the pandemic.
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Once the present virus emergency has passed, it is intended to revert to the model of two face-toface meetings, generally in the Spring and Autumn. Each meeting will continue to be minuted to reflect the discussions and agreed actions.
In addition, a joint meeting using video conferencing was held between the BPC and Behçet’s UK to ensure we remain aligned and our services are complimentary for the benefits of patients.
3.4.3 Company Training Day(s)
The BPC also held a training meeting during financial year 2020-21 via video conferencing, with the meeting being attended by all the operational staff and available Directors. The objectives of the meeting are to ensure the Directors are fully briefed on the variety of work that is undertaken by the Support Coordinators, to keep them up to date with trends and best practice and to focus on specific tools to assist in managing their workload and priorities.
This type of training will continue on an annual basis with any relevant learning and action points noted and shared via either BPC Matters or via the Behçet’s UK newsletter.
3.4.4 Quality of Life survey
A new, online version of the Quality of Life survey was created in collaboration with the three Centres of Excellence and Behçet’s UK.
The survey was conducted online to reduce costs and make the analysis easier, following its launch via the Behçet’s UK newsletter and the various social media accounts of Behçet’s UK, a total of 459 patients and members completed the survey.
The London Centre of Excellence has been analysing the results and they are expecting to publish their results and findings in late Spring 2021.
We will be sharing the results with the Centres and Behçet’s UK as soon as they are available.
3.4.5 Behçet’s Centre : Covid-19 patient Survey
In conjunction with the London Centre, Behçet’s Patents Centres was asked to facilitate the Covid19 patient Survey to assess the impact of the pandemic on patients with a rare disease who have been requested to go into shielding. The online survey was launched with the assistance of the NHS and Behçet’s UK in late 2020. Approximately 90 responses have been received and the data is now being analysed by the London Team.
Again, we will be sharing the results with the Centres and Behçet’s UK as soon as they are available.
3.4.6 Risks
The Board of Directors has considered the risks to which the charity is exposed.
The most significant risk had been that the contract retained the original figures from 2012 having received no inflationary increases over the past seven years, while the cost of delivering the service had increased.
This concern was raised with the NSCG during the Annual Review meeting in February 2018 and raised again in June 2019. (Note that the Annual Review meeting with the NSCG had been moved to June of each year to coincide with the publication of the Annual Report.)
A positive response was received from the NSCG at the 2019 review meeting, following which a further four-year contract was agreed from April 2020 with an initial 7.6% uplift in funding and a further uplift of 3.8% from 1 April 2022.
With the reserves that have been built up, there is now no risk to the viability of the charitable company, at least for the duration of that contract.
The Directors are therefore of the opinion that the charity is a going concern.
Directors will also continue to monitor cash flow closely, as well as ensuring that any recruitment procedures include Disclosure Barring Service checks, that staff are appropriately trained and that there are relevant policies including a Data Protection policy that reflects the newly introduced data privacy regulations. Directors will continue to take out appropriate insurance for the services that the Company provides.
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4. Financial Review
The Company was incorporated on 28 May 2012. Its first financial period ended on 31 May 2013, after which the accounting reference date was changed to 31 March for subsequent years. This report relates to the financial year ending 31 March 2021.
The Company’s main source of income is a grant from the National Health Service Commissioning Board by means of a contract with the Company to provide support services to Behçet’s patients in conjunction with the three Patients Centres. Some additional income has been received from the Barts Health NHS Trust in order to extend the administrative support provided by one of the Support Co-ordinators at the London clinic and some small charitable donations have again been received this year.
The Company employs three Support Coordinators and finances their recruitment and training, the provision of laptop computers and stationery, including patient information packs, and meets the Support Coordinators’ travel costs and incidental expenses. In addition, the Company employs its own part-time Operations Manager and contributes to the costs of the Behçet’s UK newsletter.
At the end of the previous financial period, the Company had total reserves of £39.6k. In the period ending 31 March 2021 it received income of £108.6k, principally from NHS England, and spent some £99.5k on charitable activities and £2.4k on governance costs, giving a surplus of £6.7k for the period, which was added to the reserves brought forward from earlier years.
4.1 Investment Policy
The Directors’ policy on finance is to utilise its CAF Bank current account for routine income and expenditure and to place funds not needed in the short term on deposit with a Scottish Widows 90day account. The BPC is responsible for delivering to the National Specialised Commissioning Groups award and therefore it is not anticipated that a large reserve will be created. Claims are made on a quarterly basis to the NSCG to cover planned expenditure.
4.2 Reserves Policy
The Company's reserves at 31 March 2021 were £46.4k. Directors aim to maintain reserves at a level not exceeding the company’s normal income for a six-month period, together with any funds necessary to meet expenditure on activities that are incomplete at the end of a financial period, as a contingency in the event of the non-renewal of the contract with NHS England to provide for an orderly winding-up of the company's activities.
4.3 Basis of Preparation
The financial statements comply with the Charities Act 2011, the Companies Act 2006 and Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with FRS 102.
4.4 Public Benefit
The Directors have had regard to the Charity Commission’s guidance on public benefit, as detailed in section 3 above.
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B. Directors’ Responsibilities
The Directors are responsible for preparing the Directors’ Report and the financial statements in accordance with applicable law and regulations.
Company law requires the Directors to prepare financial statements for each financial year. Under that law, the Directors have elected to prepare the financial statements in accordance with United Kingdom Generally Accepted Accounting Practice (United Kingdom Accounts Standard and Applicable Law).
Under company law the Directors must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the charitable company and of the profit or loss of the charitable company for that period. In preparing these financial statements the Directors are required to:
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select suitable accounting policies and then apply them consistently;
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make judgments and estimates that are reasonable and prudent;
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state whether applicable accounting standards have been followed subject to any departures disclosed and explained in the financial statements; and
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prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business.
The Directors are responsible for keeping accounting records that disclose with reasonable accuracy the financial position of the charity and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
This report was approved by the Board on 13 May 2021 and signed on its behalf by
Jan Mather Chair of the Board of Directors
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C. Statement of Financial Activities
STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2021
(Incorporating the income and expenditure account)
| Note INCOME AND ENDOWMENTS Income from charitable activities 3 Bank interest receivable Total Income and endowments EXPENDITURE ON: Charitable activities 4 Governance costs 5 Total Expenditure NET INCOME/(EXPENDITURE) Transfers between funds 6 Net Movement in Funds RECONCILIATION OF FUNDS Total funds brought forward from previous year Total funds carried forward |
Unrestricted Fund Restricted Funds 657 107 963 33 0 690 107 963 0 99 486 0 2 378 0 101 864 690 6 099 6 099 -6 099 6 789 0 39 616 0 46 405 0 |
Total 2020-21 108 620 33 108 653 99 486 2 378 101 864 |
Total 2019-20 92 287 76 |
|---|---|---|---|
| 92 363 | |||
| 91 524 3 239 |
|||
| 94 763 | |||
| 6 789 | -2 400 | ||
| 0 | 0 | ||
| 6 789 | -2 400 | ||
| 39 616 46 405 |
42 016 | ||
| 39 616 |
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STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2020
(Incorporating the income and expenditure account)
| Note INCOME AND ENDOWMENTS Income from charitable activities Bank interest receivable Total Income and endowments EXPENDITURE ON: Charitable activities 4 Governance costs 5 Total Expenditure NET INCOME/(EXPENDITURE) Transfers between funds 6 Net Movement in Funds RECONCILIATION OF FUNDS Total funds brought forward from previous year Total funds carried forward |
Unrestricted Fund Restricted Funds 532 91 755 76 0 608 91 755 0 91 524 0 3 239 0 94 763 608 -3 008 -3 008 3 008 -2 400 0 42 016 0 39 616 0 |
Total 2019-20 92 287 76 92 363 91 524 3 239 94 763 |
Total 2018-19 92 885 74 |
|---|---|---|---|
| 92 959 | |||
| 89 657 2 009 |
|||
| 91 666 | |||
| -2 400 | 1 293 | ||
| 0 | 0 | ||
| -2 400 | 1 293 | ||
| 42 016 39 616 |
40 723 | ||
| 42 016 |
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D. BALANCE SHEET AS AT 31 MARCH 2021
| Notes Current assets Debtors 9 Prepayments 10 Cash at bank and in hand 11 Total current assets Creditors: amounts falling due within one year 12 Total assets less current liabilities Creditors: amounts falling due after one year Net assets Funds of the charity Unrestricted fund Restricted fund Total funds |
Unrestricted Fund Restricted Funds 106 3 463 0 1 151 46 299 -1 890 46 405 2 724 0 2 724 46 405 0 0 0 46 405 0 46 405 0 0 0 46 405 0 |
Total 2020-21 3 569 1 151 44 409 49 129 2 724 46 405 0 46 405 46 405 0 46 405 |
Total 2019-20 19 956 41 348 |
|---|---|---|---|
| 42 323 | |||
| 2 707 | |||
| 39 616 | |||
| 0 | |||
| 39 616 | |||
| 39 616 0 |
|||
| 39 616 |
All of the company’s activities were derived from continuing operations during the above two financial periods.
Note: Restricted Fund
This fund records monies received from NHS Commissioning via the London Strategic Health Authority and from Barts NHS Trust during this accounting period and the charitable purposes for which they have been employed.
The financial statements comply with the Charities Act 2011, the Companies Act 2006 and Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with FRS 102.
For the financial period ended 31 March 2021, the company was entitled to exemption from audit under section 477(1) of the Companies Act 2006, and no notice has been deposited under section 476(1) requesting an audit.
The directors acknowledge their responsibilities for:
-
(a) ensuring that the company keeps accounting records which comply with section 386 of the Act; and
-
(b) preparing accounts which give a true and fair view of the state of affairs of the company as at the end of the year and of its profit or loss for the financial year in accordance with the requirements of section 394 and which otherwise comply with the Companies Act 2006, so far as applicable to the company.
These accounts have been prepared in accordance with the provisions applicable to companies subject to small companies’ regime.
Approved by the Board of Directors on 13 May 2021 and authorised for issue on 13 May 2021
Jan Mather
Chair of the Board of Directors
Behçet’s Patients Centres Annual Report 2021
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E. NOTES TO THE FINANCIAL STATEMENTS
PERIOD ENDED 31 MARCH 2021
1. CHARITY DETAILS
The charity is a charitable company limited by guarantee.
Its registered office is: 23-38 Hythe Bridge Street OXFORD OX1 2EP
The charity is a public benefit entity.
2. ACCOUNTING POLICIES
The principal accounting policies of the company are as follows:
(a) Basis of accounting
The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with FRS 102 and the Companies Act 2006. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy note(s).
(b) Income
Grants from National Health Service England are included in the income and expenditure account as they become available.
(c) Explanation of the categories of expenditure
Charitable activities
This comprises all direct costs and management overheads which have been incurred by the charity in meeting its charitable objects.
Governance costs
Governance expenses represents the costs incurred in connection with the administration of the charity in compliance with constitutional and statutory requirements.
(d) Taxation
The company is a registered charity and is not liable to United Kingdom taxes on its income.
(e) Presentation currency
The financial statements are presented in Sterling, which is the functional currency of the charity.
(f) Cash and cash equivalents
Cash and cash equivalents comprise cash on hand and call deposits, and other short-term highly liquid investments that are readily convertible to a known amount of cash and are subject to an insignificant risk of change in value.
(g) Trade creditors
Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course of business from suppliers. Accounts payable are classified as current liabilities if the charitable company does not have an unconditional right, at the end of the reporting period, to defer settlement of the creditor for at least twelve months after the reporting date. If there is an unconditional right to defer settlement for at least twelve months after the reporting date, they are presented as non-current liabilities.
Trade creditors are recognized at the transaction price.
Behçet’s Patients Centres Annual Report 2021
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| 3. ANALYSIS OF CHARITABLE INCOME NHS England Barts Health NHS Trust PayPal Giving Fund 4. ANALYSIS OF CHARITABLE EXPENDITURE Staff training and HR costs Salaries and wages (4 employees in 2020, 4 in 2019) Employer’s NI Employment rebate Employer’s pension costs General travel expenses Subsistence costs Insurance Telephone/fax/email Printing/photocopying Newsletter Postage Stationery and materials ICT hardware ICT software Equipment purchases Conference expenditure 5. ANALYSIS OF GOVERNANCE COSTS Independent examination of accounts Financial administration Bank charges Professional fees Other fees Data Protection registration AGM expenses Board meeting expenses |
2021 £ 98 728 9 235 657 108 620 2021 £ 151 88 149 7 316 -4 000 2 068 166 0 661 495 186 1 401 75 131 1 639 997 51 0 99 486 2021 £ 654 1 065 69 477 78 35 0 0 2 378 |
2020 £ 91 755 0 532 |
2020 £ 91 755 0 532 |
|---|---|---|---|
| 92 287 2020 £ 420 79 128 6 157 -3 000 1 807 1 854 30 524 562 1 299 1 535 55 83 0 460 0 610 91 524 2020 £ 642 1 224 60 456 78 35 387 357 3 239 |
|||
| 3 239 |
6.
TRANSFER OF FUNDS
Any unspent monies received from NHSE have been transferred to unrestricted funds as the directors may use these funds to promote the charitable object without restriction. The operating surplus in 2020-21 was transferred to these reserves.
7. DIRECTORS’ EMOLUMENTS
The directors are not entitled to and did not receive any remuneration during the year. Travel and accommodation expenses incurred by the directors on behalf of the charity may be reimbursed. No claims were made by directors in 2020-21 (4 directors claimed a total of £288 in 2019-20). There were no expenses paid to third parties on behalf of trustees.
8. EMPLOYEE EXPENSES
The total average monthly number of employees during the year was 4 (2020: 4). The company has a pension scheme for its employees. Contributions totalling £2068 were made during the year (£1807 in 2020). There were no redundancy or termination payments. No staff were paid £60 000 or more during the year (2020: none).
| The numbers of employees whose remuneration for the year fell | 2021 | 2020 |
|---|---|---|
| within the following bands were: | ||
| £10 000 to £20 000 | 3 | 3 |
| £20 001 to £30 000 | 0 | 1 |
| £30 001 to £40 000 | 1 | 0 |
The total paid to key management personnel, including pension contributions, was £ 15.6k (2020: £15.4k).
Behçet’s Patients Centres Annual Report 2021
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| 9. ANALYSIS OF DEBTORS Donations due from PayPal Barts Health NHS Trust 10. ANALYSIS OF PREPAYMENTS Insurance premium paid in advance Proportion of company secretarial fees paid in advance 11. ANALYSIS OF CASH CAF Bank current account Scottish Widows 90-day account Floats held by support Coordinators to meet expenses 12. ANALYSIS OF CREDITORS (due within one year) HMRC – PAYE and National Insurance payments Pension scheme payments Staff expenses claims Provision for cost of independent examination of accounts |
2021 2020 £ £ 106 19 3 463 0 3 569 19 2021 2020 £ £ 786 600 365 356 1 151 956 2021 2020 £ £ 13 387 10 378 30 447 30 395 575 575 _ _________ 44 409 _41 348 2021 2020 £ £ 1 547 1 701 425 351 98 13 654 642 _ _________ 2 724 _2 707 |
|---|---|
13. RELATED PARTY TRANSACTIONS
There were no related party transactions in either period and there were no donated services.
Behçet’s Patients Centres Annual Report 2021
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F. INDEPENDENT EXAMINER'S REPORT
TO THE TRUSTEES OF
BEHÇET'S PATIENTS CENTRES
I report to the charity trustees on my examination of the accounts of Behçet's Patients Centres (the Company) for the year ended 31 March 2021, which are set out on pages 15 to 20.
Responsibilities and basis of report
As the charity's trustees of the company (and also its directors for the purposes of company law) you are responsible for the preparation of the accounts in accordance with the requirements of the Companies Act 2006 ('the 2006 Act').
Having satisfied myself that the accounts of the company are not required to be audited under Part 16 of the 2006 Act and are eligible for independent examination, I report in respect of my examination of your charity's accounts as carried out under section 145 of the Charities Act 2011 (the '2011 Acf). In carrying out my examination I have followed the Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act.
Independent examiner's report
I have completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe:
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1) accounting records were not kept in respect of the Company as required by section 386 of the 2006 Act; or
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2) the accounts do not accord with those accounting records; or
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3) the accounts do not comply with the accounting requirements of section 396 of the 2006 Act other than any requirement that the accounts give a 'true and fair* view which is not a matter considered as part of an independent examination; or
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4) the accounts have not been prepared in accordance with the methods and principles of the Statement of Recommended practice for accounting and reporting by charities applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS102).
I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.
Name of examiner: Caroline Webster
Name of firm: UHY Ross Brooke
Relevant professional body: Institute of Chartered Accountants in England and Wales
Address: Suite I, Windrush Court, Abingdon Business Park, ABINGDON, OX14 1SY
Signed:
Date: 13 May 2021
Behçet’s Patients Centres Annual Report 2021
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